Open AccessThe importance of ultrasound in a case of stroke caused by left atrial myxoma
Author(s) -
Vincenzo Francesco Tripodi,
Carmelo Massimiliano Rao,
Angelo Covino,
Pasquale Fratto,
Frank Benedetto
Publication year - 2020
Publication title -
journal of cardiovascular echography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.255
H-Index - 8
eISSN - 2347-193X
pISSN - 2211-4122
DOI - 10.4103/jcecho.jcecho_51_20
Subject(s) - medicine , myxoma , transesophageal echocardiogram , left atrial myxoma , thrombolysis , transthoracic echocardiogram , stroke (engine) , cardiology , dysarthria , radiology , atrial fibrillation , myocardial infarction , left atrium , mechanical engineering , engineering
Myxoma is one of the most common cardiac tumors. It is relatively straightforward to diagnose by echocardiography. Sometimes, It can causes cardiac syncope and thromboembolic events. A woman without comorbidities was admitted to our hospital with stroke symptoms: left-sided hemiplegia and dysarthria. After brain computed tomography (CT) and angio-CT value, she was initially treated with pharmacological thrombolysis. Due to persisting symptoms, cerebral angiography and thrombectomy were then performed. At the end of this procedure, the patient had a complete neurological recovery, but she developed new symptoms, such as dyspnea and orthopnea. Transthoracic echocardiogram and transesophageal echocardiogram showed an atrial mobile mass. Therefore, an urgent cardiac surgery was performed in order to remove the mass. Histological examination confirmed cardiac myxoma. Our experience could show the importance of echocardiography to early diagnosis.